Lisa Jordan
Lisa Jordan is a Prevention Professional in Stockton, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
430 N Pilgrim StStockton, CA 95205-4428
Phone: (209) 466-0853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prevention Professional (primary) | Taxonomy 405300000X · Licence 0 (CA) |
|---|
Record details
| NPI number | 1265909055 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 30, 2018 |
| Last updated in NPPES | October 30, 2018 |
| Mailing address | 430 N Pilgrim St, Stockton, CA 95205-4428 |
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